Active NPI
Hillsides
- Community/Behavioral Health Agency
- Los Angeles, CA
National Provider Identifier
1619217841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- HILLSIDES
- Practice address
- 815 Colorado Blvd
3Rd Floor
Los Angeles, CA 90041-1720 - Phone
- (323) 543-2800
- NPI assigned
- Feb 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacey Roth, LCSW
- Title
- Chief Executive Officer
- Phone
- (323) 254-2274
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
815 Colorado Blvd
3Rd Floor
Los Angeles, CA 90041-1720
Mailing address
815 Colorado Blvd
3Rd Floor
Los Angeles, CA 90041-1720
Phone (323) 543-2800
Other names 1
- Hillsides Support Services Center
National Provider Directory
National Provider Directory- Tax ID family
- Hillsides
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adolescent and Children Mental Health Clinic/Center
- Irwindale, CA
- NPI 1083158810
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Palmdale, CA
- NPI 1285289801
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Pasadena, CA
- NPI 1386463099
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pasadena, CA
- NPI 1477023265
-
- Mental Illness Community Based Residential Treatment Facility
- Pasadena, CA
- NPI 1639613821
-
- Community/Behavioral Health Agency
- Pomona, CA
- NPI 1700270188
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1720707987
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Commerce, CA
- NPI 1972047165
Locations
815 Colorado Blvd
Fl 3
Los Angeles, CA 90041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609804800000",
"number": "1619217841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 COLORADO BLVD",
"address_2": "3RD FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900411720",
"telephone_number": "323-543-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 COLORADO BLVD",
"address_2": "3RD FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900411720",
"telephone_number": "323-543-2800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLSIDES",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-25",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A",
"authorized_official_last_name": "ROTH",
"authorized_official_first_name": "STACEY",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "323-254-2274",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hillsides Support Services Center",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Hillsides Support Services Center",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.